Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Carrer Villarroel 170, 08036, Barcelona, Spain.
AIS Channel S.L., Barcelona, Spain.
Surg Endosc. 2021 Jul;35(7):4042-4047. doi: 10.1007/s00464-021-08407-z. Epub 2021 Mar 8.
More than 60% of patients who undergo surgery for colorectal cancer experience anxiety at some point during the perioperative period. In addition to the obvious impact on the experience of the therapeutic process, the presence of anxiety has also been associated with the appearance of complications. Virtual reality could reduce it by simulating the controlled exposure of the patient to the conscious part of the surgical process.
Single-center randomized clinical trial (NCT04058600) in which patients who were to undergo surgery for colorectal cancer and who had not previously undergone surgery as adults were exposed, prior to hospital admission, to virtual reality software in which all perioperative phases in which the patient is awake, from admission to discharge, were recreated. The main objective was to determine the presence of pre- and post-exposure anxiety using the validated State-Trait Anxiety Inventory Scale (STAI-S) and Hospital Anxiety and Depression Scale (HADS).
A total of 126 patients were recruited (58 exposed, 68 unexposed). There were no differences between the groups in terms of age, gender, anesthetic risk, type of surgery. or levels of preoperative anxiety or depression. After exposure, all anxiety/depression rating scales decreased significantly.
The use of simulation using virtual reality can reduce perioperative anxiety in patients undergoing surgery for colorectal cancer.
超过 60%接受结直肠癌手术的患者在围手术期的某个阶段会感到焦虑。除了对治疗过程体验的明显影响外，焦虑的存在还与并发症的出现有关。虚拟现实可以通过模拟患者对手术过程有意识部分的受控暴露来减轻这种焦虑。
这是一项单中心随机临床试验（NCT04058600），纳入了将要接受结直肠癌手术且以前未接受过成人手术的患者，在入院前，患者使用虚拟现实软件，该软件重现了患者在整个围手术期清醒的所有阶段，从入院到出院。主要目的是使用经过验证的状态-特质焦虑量表（STAI-S）和医院焦虑和抑郁量表（HADS）来确定暴露前后的焦虑程度。
共招募了 126 名患者（58 名暴露组，68 名未暴露组）。两组在年龄、性别、麻醉风险、手术类型或术前焦虑或抑郁水平方面无差异。暴露后，所有焦虑/抑郁评分量表均显著降低。
使用虚拟现实模拟可以减轻接受结直肠癌手术的患者的围手术期焦虑。
